Sejalan dengan meningkatnya harga BBM di Indonesia sejak tiga tahun terakhir tezjadi peningkatan penggunaan bahan bakar batubara sebagai pengganti solar dan residu dengan alasan ekonomi. Di Kabupaten Bandung penggunaan bahan bakar batubara yang berisi air, uapan hasil pemanasan ini dialirkan ke tiap ruangan unmk pmses indusui. Penggunaan batubara kakan berdampak terhadap kesehatan berupa keluhan sistem pernafasan, gangguan faal paru bersifat obtruktif restriktif dan campuran. Desain penelitian adalah Studi Cross Sectional lmtuk mengetahui hubungan dampak penggunaan bahau bakar batubara dengm keluhan sistem pemafasan dan gangguan faal pada pekerja pada industri di kecamatau Majalaya Kabupamen Bandung Tahun 2007. Dilakukan pengujian antara faktor dependen (keluhan sistem pernafasan dan gangguan faal paru) dengan independen (Radar NO2, SO; CO, CO;, PMN dan debu respirabel), dan faktor confouding ( kebiasan mkok, lama kerja, APD), karakteristik pekerja (status sizi, riwayat penyakit, umur.Hasil telitian menunjukkan bahwa kadar NO; SO; CO, dan CO2 semuanya (l00%) kurang atau sama dengan NAB sedangkan PM", semuanya (I00%) melebihi NAB, debu respirabel sebesar 97,l% melebihi NAB, nanmn di semna industli NAB gabungan melebihi angka l. Prevalensi keluhan sistem pemaihsan sebesar 7I,4%, gangguan hal pam l6,2%.Gangguan faal paru bC¥hl1b\lD@l1 bermakna dengan penggunaan APD. Sehinga dapat dibuat model yaitu logit gngguan faal paru=-1,946 + 5,266*APD. Dari model di atas dapat dijelaskan bahwa pekerja yang bekerja di ruangan boiler batubara yang tidak menggunakan APD akan mempunyai risiko terjadinya gangguan faal pam sebesar 5 kali dibanding pekerja yang bekezja di ruangan boiler batubara yang menggunakan APD. Untuk mengetahui lebil mendalam perlu di1akukan penelitian kohon minimal selama 10 tahm; yang mencakup debu respirabel, komposisi batubara, dan faktor genetika yang berpengaruh terhadap gangguan faal Pam Pekerja boiler mempnmyai gizi kurang sebesar 24,8%._ kebiasaan memkok 8l,9% dan tergolong perokok berat, perusahaan perlu menyediakan makanan tambahan dan penyuluhan tentang bahaya merokok terhadap kmehatan. Pemerintah perlu mempertimbangkan lebih lanjut tentang penggunaan batubara dan apabila penggunaannya dilanjutkan dengan syarat adanya minimasi kadar debu dan komitmen penggunaan APD yang benar.

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Align with the BBM price increase in Indonesia since the last three years,there has been an increase of coal use as a diesel substitute and residue due to economic reason. In Kabupaten Bandung this coal use is aimed to heat a boiler which contain of water, and the vapor which is released by the water is flowed to each chamber for the industry PTOCBSS. This industry has been using coal from 2003 until now. This coal use will give a negative impact on our health, especially on our respiratory system and could cause pulmonary disorders which are obstructive, restrictive, or mix of both. This research is using Cross Sectional design to know the relation of coal use and respiratory complaints and pulmonary disorders at Kecamatan Majalaya, Kabupaten Bandung in year 2007. Atesting was done on dependant factors (respiratory complain and pulmonary disorder) and independent factors (NO;, SOI, CO, CO; PMN level and repairable dust), and confounding lirctor (Smoking habit, service year , PPE), worlrfome characteristic (nutrition status, medical history, age).

The result of this research shows that NO; SO; CO, and C02 level, all (l00%) less or equal with the NAB, for PMN all 100% exceeds the NAB, repairable dust is 97,l% exceeds the NAB, but 100% of NAB combine industry exceeds 1. The prevalence of respiratory complaint is l,4%, pulmonary disordas l5,2%. Pulmonary disorders related significantly with the PPE use. We can formulate a model, The Model explain that worker who work in coal boiler room who do not use PPE will have lung function disorder risk S time greater thanworker who use PPE. To know this problem comprehensively, another cohort research will need to be married forward for next 10 years, which includes respirable dust, coal composition, and genetics factors which influence the pulmonary disorders. Boiler workers have several supporting factors, such as lack of nutrition 24,8%, smoking habit 8l,9% and categorized as heavy smokers, therefore the company will need to provide extra nutrients and health education on the danger of smoking on our health. Guidance and observation on the industry will need to bc done from cross programs and related sectors continuously!! still can be used if only there is a dust volume minimization and PPE usage commitment.